Critical analysis of methodologies for valuation of esthetic damage and the forensic application in Brazil

F, Vetter; Pereira, None Rodrigo Torres; Block, None Lilian Lígia; Zaitter, Wellington Menyrval; Oliveira, Rogério Nogueira de; Fernandes, Mário Marques

doi:10.21726/rsbo.v1i3.489

Cited by 4 publications

(7 citation statements)

References 6 publications

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“…In our study, we aimed to identify some of the factors that contribute to the psycho-social distress of the person with post-traumatic scarring. For this purpose, we employed a morphological scale (POSAS) in association with other scales such as MPIS, conceived to measure the self-reported, subjectively assessed social support in patients with scars [ 17 ], the Hopeless Depression Symptom Questionnaire (HDSQ), designed to measure hopelessness/depression [ 22 ], and the Multidimensional Scale of Perceived Social Support (MSPSS), that quantifies the self-reporting of subjectively assessed social support [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

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Predictors for Estimating Scars’ Internalization in Victims with Post-Traumatic Scars versus Patients with Postsurgical Scars

et al. 2022

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(1) Background: Scars are the consequence of physiological inherent healing processes of post-traumatic and surgical lesions with a psychological impact. Post-traumatic scarring may induce emotional and behavioral changes through social stigma. In this study we analyze the internalization of scars and their impact on hopelessness, depression, or the perception of social support in subjects with post-traumatic scars compared to people with surgical scars. (2) Methods: to research this suggested model, we analyzed data collected from 110 participants 61 women and 49 men, aged between 18 and 64 years; 55 participants had post-traumatically and 55 surgically acquired scars. They all were examined to assess the characteristics of scars, were asked to complete four psycho-social scales, and the results were compared. (3) Results: our results indicate that people with post-traumatic scars are oriented toward the internalization of scars, depending on their shape and size. We argue that hopelessness, appreciation of scars, age, and how scars are produced are important predictors of internalization. (4) Conclusions: the patient’s attitude toward the appearance of a scar is an indicator of how he/she will react in the future and it could predict the vulnerability to hopelessness. Finally, we nuance the impact of objective bodily harm on the psychological and moral suffering.

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Section: Discussionmentioning

confidence: 99%

“…Bodily harm can be evaluated, but for the elements of moral suffering there are no objective criteria. Evaluation scales have difficulty in assessing the role of mental suffering, given their process of development, modifying sometimes, the physiognomy or even the victim’s aesthetic perception of its own body [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors for Estimating Scars’ Internalization in Victims with Post-Traumatic Scars versus Patients with Postsurgical Scars

et al. 2022

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“…The standard procedure of the forensic doctor is to write in detail the morphological characteristics of the scar and eventually to take pictures if there is any doubt about the identity of the person. Scars that affect areas of importance in expressing nonverbal language or those that alter the natural symmetry of the face lead to aesthetic damage [5]. To be successful, an aesthetic intervention should represent the optimal balance between science, the art of plastic surgery, and the patient's expectations, as well as good communication between the surgeon and the patient [6].…”

Section: Introductionmentioning

confidence: 99%

Objective Criteria in Evaluating the Consequences of The Posttraumatic Scars

Mekereș¹,

Buhaş²,

Bulzan³

et al. 2022

Pharmacophore

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Most of the population has scars which are related to a traumatic event. In current forensic practice, two-dimensional measurement of the scar surface is used to analyze a scar, but for an objective evaluation of the scars, it would be necessary to measure its volume to capture all the characteristics. Moral suffering as a negative consequence of the presence of the scar should also be measured by using psychometric scales to attest the degree of internalization or production of aesthetic damage given that any person suffers from the awareness of unsightly wounds or scars. This article reviews the literature on available tools and existing assessment methods used to objectively and subjectively characterize scars of various etiologists. car assessment devices must be non-invasive, accurate, provide reproducible data, be easy to use to facilitate data collection, and have clinical support. Existing devices can evaluate such parameters as foldability, firmness, color, perfusion, thickness, and, three-dimensional topographies. In this study, we described the main scales that consider the analysis of scars, being represented by aesthetic, observational, and psychometric scales. The psychometric scar scales will objectify the negative consequences of scars, these consequences are felt mainly in the family and professional, without losing sight of the fact that any person suffers from awareness unsightly wounds or scars. The consequences of aesthetic damage have negative effects on the family and profession, but especially on the decrease in self-esteem and self-confidence of individuals with unsightly scars.

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“…1,2 Facial scars are considered aesthetic damage that causes unpleasant modifications in both the static or dynamic facial expression recognized by everyone and affect the image of the person. 3 It is reported that people who have symmetrical faces are more attractive to the opposite sex than those with asymmetrical faces and the social interactions with both sexes are easier. 4 It is also known that anxiety and depression caused by the trauma of the face, increase with the healing process delay.…”

Section: Introductionmentioning

confidence: 99%

Developing an Image Processing-Based Method to Objectively Decide the Conspicuousness of Permanent Facial Scar

Gelir¹,

Yilmaz²,

Aşıcıoğlu³

et al. 2022

IJETV

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Permanent facial scars cause serious trauma because the person has to live with a scar which s/he cannot easily hide. Conspicuous scar tissue will have a negative impact on psychology depending on how much importance they give to their appearance. Because of this reason, it is evaluated as an aggravated form of punishment in Turkish Criminal Law. In this study, image processing software was used for the quantitative analysis of facial scars. The scar photographs were taken, and the relative colour difference of the scar region was measured concerning the nearby healthy area. The scar’s physical properties, such as the length and the surface area, were measured by processing the photographs in software. An evaluation of 100 cases showed that the relative color difference rate of 15% is critical for deciding the conspicuousness of permanent facial scar. Above this rate, the facial scar is visible by the naked eye without affecting any factors such as the physicians’ visual acuity, attention, and experience. Otherwise, the scar’s length and the surface area must also be evaluated for a correct decision about the conspicuousness of a permanent facial scar.

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Critical analysis of methodologies for valuation of esthetic damage and the forensic application in Brazil

Cited by 4 publications

References 6 publications

Predictors for Estimating Scars’ Internalization in Victims with Post-Traumatic Scars versus Patients with Postsurgical Scars

Predictors for Estimating Scars’ Internalization in Victims with Post-Traumatic Scars versus Patients with Postsurgical Scars

Objective Criteria in Evaluating the Consequences of The Posttraumatic Scars

Developing an Image Processing-Based Method to Objectively Decide the Conspicuousness of Permanent Facial Scar

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